MEDICARE: DANIEL DREES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	074393	IA

General Provider Information

NPI Number	:	1053765420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL DREES

Provider Business Mailing Address
First Line	:	3135 218TH ST
Second Line	:
City	:	EARLVILLE
State	:	IA
Zip	:	52041-8509
Country	:	US
Telephone Number	:	563-451-8010
Fax Number	:

Provider Business Practice Location Address
First Line	:	3135 218TH ST
Second Line	:
City	:	EARLVILLE
State	:	IA
Zip	:	52041-8509
Country	:	US
Telephone Number	:	563-451-8010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2016
Last Update Date	:	07/21/2022

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